Prior authorization allows members to budget for upcoming expenses and avoid unexpected costs. During the prior authorization review, Quartz can alert members to non-covered services, visit limits, and other important requirements of their health plan.
Prior Authorization determines and authorizes payment:
Prior Authorization lists are not all-inclusive and may differ depending on health plan type. Your benefit plan determines coverage.
Please contact Customer Service at (800) 897-1923 or call (608) 775-0234 / (888) 775-0234 (Trane members only) with specific code information to determine if an item or service is covered and requires prior authorization.
Failure to obtain Prior Authorization may result in non-coverage for the service or supply. Prior authorization is not a guarantee of payment.
This health plan is underwritten by Gundersen Health Plan, Inc.